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• W2020407861 abstract "We report the case of an healthy 7-month-old infant with no known pathology, who was brought to the pediatric emergency department for sudden appearance of erythematous and fluctuant vulvar tumor (Figure 1). Tumor reduction was conducted, while observing its urethral origin. Bladder ultrasound was performed; the presence of an intravesical sac adjacent to the right lateral bladder wall supports a ureterocele. The study was completed with intravenous urography and magnetic resonance imaging, showing the right dual system with a ureterocele of 1.5 cm × 1.6 cm and a hydronephrotic and nonfunctioning right upper pole (Figure 2). Cystography showed the absence of vesicoureteral reflux. We performed upper right polar heminephrectomy with partial ureterectomy and ureterocele aspiration.Figure 2Nuclear magnetic resonance showing ureteral duplication in the right kidney upper pole.View Large Image Figure ViewerDownload Hi-res image Download (PPT) A ureterocele may occur in a normal excretory urinary system or with ureteral duplication. When a ureterocele is not associated with ureteral duplication, it can often overlooked because it is not usually associated with symptoms. However, when it is associated with ureteral duplication, there usually is obstruction and infection of the kidney that drains the upper pole.1Calleja Aguayo E. Delgado Alvira J. Elías Pollina J. Romeo Ulecia M. González Esgueda A. Esteban Ibarz J.A. Cir Pediatr. 2010; 23: 28-31PubMed Google Scholar, 2Pike S.C. Cain M.P. Rink R.C. Ureterocele prolapse: rare presentation in an adolescent girl.Urology. 2001; 57 (554ix-x)Abstract Full Text Full Text PDF PubMed Google Scholar, 3Sen I. Onaran M. Tokgoz H. Tan M.O. Biri H. Bozkirli I. Prolapse of a simple ureterocele presenting as a vulval mass in a woman.Int J Urol. 2006; 13: 447-448Crossref PubMed Scopus (13) Google Scholar, 4Sozubir S. Lorenzo A.J. Twickler D.M. Baker L.A. Ewalt D.H. Prenatal diagnosis of a prolapsed ureterocele with magnetic resonance imaging.Urology. 2003; 62 (144viii-x)Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar In 80% of cases, a ureterocele is associated with duplication and usually with an ectopic meatus in the bladder or the urethra. The diagnosis of this pathology can be performed with nuclear magnetic resonance4Sozubir S. Lorenzo A.J. Twickler D.M. Baker L.A. Ewalt D.H. Prenatal diagnosis of a prolapsed ureterocele with magnetic resonance imaging.Urology. 2003; 62 (144viii-x)Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar and ultrasound.1Calleja Aguayo E. Delgado Alvira J. Elías Pollina J. Romeo Ulecia M. González Esgueda A. Esteban Ibarz J.A. Cir Pediatr. 2010; 23: 28-31PubMed Google Scholar, 2Pike S.C. Cain M.P. Rink R.C. Ureterocele prolapse: rare presentation in an adolescent girl.Urology. 2001; 57 (554ix-x)Abstract Full Text Full Text PDF PubMed Google Scholar, 3Sen I. Onaran M. Tokgoz H. Tan M.O. Biri H. Bozkirli I. Prolapse of a simple ureterocele presenting as a vulval mass in a woman.Int J Urol. 2006; 13: 447-448Crossref PubMed Scopus (13) Google Scholar, 4Sozubir S. Lorenzo A.J. Twickler D.M. Baker L.A. Ewalt D.H. Prenatal diagnosis of a prolapsed ureterocele with magnetic resonance imaging.Urology. 2003; 62 (144viii-x)Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar Intravenous urography and cystography may also help with diagnosis, but they sometimes offer indirect evidence.2Pike S.C. Cain M.P. Rink R.C. Ureterocele prolapse: rare presentation in an adolescent girl.Urology. 2001; 57 (554ix-x)Abstract Full Text Full Text PDF PubMed Google Scholar, 3Sen I. Onaran M. Tokgoz H. Tan M.O. Biri H. Bozkirli I. Prolapse of a simple ureterocele presenting as a vulval mass in a woman.Int J Urol. 2006; 13: 447-448Crossref PubMed Scopus (13) Google Scholar, 4Sozubir S. Lorenzo A.J. Twickler D.M. Baker L.A. Ewalt D.H. Prenatal diagnosis of a prolapsed ureterocele with magnetic resonance imaging.Urology. 2003; 62 (144viii-x)Abstract Full Text Full Text PDF PubMed Scopus (26) Google Scholar In a woman with a vulvar tumor, the clinical differential diagnosis should be epidermal inclusion cyst, cyst of Skene's glands, urethral prolapse, hidradenoma papilliferum, fibroepithelial polyp of the vagina, and others.1Calleja Aguayo E. Delgado Alvira J. Elías Pollina J. Romeo Ulecia M. González Esgueda A. Esteban Ibarz J.A. Cir Pediatr. 2010; 23: 28-31PubMed Google Scholar The therapeutic management of ureterocele differs depending on whether there is ureteral duplication and vesicoureteral reflux or obstruction. In mild cases, without an ectopic ureter and without vesicoureteral reflux, the endoscopic management is a valid option with good results and lower risk of retreatment.5Pohl H.G. Recent advances in the management of ureteroceles in infants and children: why less may be more.Curr Opin Urol. 2011; 21: 322-327Crossref PubMed Scopus (30) Google Scholar In cases where there is vesicoureteral reflux and normal kidney function, often nonoperative and conservative management is indicated.5Pohl H.G. Recent advances in the management of ureteroceles in infants and children: why less may be more.Curr Opin Urol. 2011; 21: 322-327Crossref PubMed Scopus (30) Google Scholar If there is ureteral duplication with a hydronephrotic, dysplastic, and nonfunctioning upper pole, heminephrectomy with complete or partial ureterectomy may be indicated.5Pohl H.G. Recent advances in the management of ureteroceles in infants and children: why less may be more.Curr Opin Urol. 2011; 21: 322-327Crossref PubMed Scopus (30) Google Scholar" @default.
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• W2020407861 title "Vulval Tumor in an Infant: Prolapse of Ureterocele" @default.
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